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Archive for the 'Blepharoplasty' Category

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Dear Dr. Seckel, I have had 2 blepharoplasty surgeries (all four eyelids) and still Look tired as my lower lids hang way down and I feel for lack of better word my eyes look like a basset hound. I had the scalpel blepharoplasty with the visible scar on my lower eyelids, I did not have the transconjunctival blepharoplasty you write about and I did not have the arcus marginalis release. I also did not have the laser. First surgery was with plastic surgeon, second was with occuloplastic surgeon, went back to a third plastic surgeon and he mentioned I should have had a canthoplasty instead. Does suturing the ligament to the bone cause eventual sagging because of weight of the cheek and gravity over time? Thank you for your time, Renée, Minneapolis,

Sunday, March 11th, 2007

Dear Renee,

The look you describe, also called the sad eyed look, hound dog eyes, ectropion, or scleral show, is the most common problem after traditional scalpel blepharoplasty of the lower eyelid. Modern Blepharoplasty usually avoids these problems. During the traditional lower eyelid blepharoplasty when the incision is made on the outside of the lower eyelid [...]

Dear Dr. Seckel, I believe a prior blepharoplasty has left me with “weakened” lower lids. Now my eyes have kind of a “floating” look to them. Is there anything that can be done to “tighten” up my lower eyelids? I have had a laser resurfacing done and it didn’t pull up my lower eyelids at all. Also. What can be done about a “hollowed” look under my eyes Thank you, Donna, Pekin, IL

Sunday, October 15th, 2006

Unfortunately a weakened lower eyelid is a common problem after a traditional “cold scalpel” lower blepharoplasty

Dear Dr Seckel, How can you tell if the puffiness under your eyes is due to fat pads or sagging skin? Are the fat pads located right where the puffiness is or where the lash line is close to the tear duct. Can a blepharoplasty be done just to snip the small amount of sagging skin if the skin is taut? Miriam, Boston, MA

Monday, September 25th, 2006

Skin can be snipped during a blepharoplasty–but I rarely need to do this. Laser Blepharoplasty, which I do, is through a tiny incision on the inside pink portion of the eyelid–thus no scar–produces beautiful results

Dear Dr. Seckel, I am a young Asian female living in Boston and I am interested in the oriental double eyelid procedure. I have heard that a natural Chinese eyelid fold can be created with a single stitch no incision procedure which avoids a scar on the eyelid. I have also seen it called the Oriental Blepharoplasty or eyelid lift. I do not want a Caucasian eyelid. I just want to have a normal Asian looking eyelid fold. Do you do this operation, Thank You, Mei Liu, Boston, MA.

Thursday, September 14th, 2006

experienced in doing eyelid surgery on Asian people. If they are not they may mistakenly create a round or Caucasian looking upper eyelid fold which cannot be reversed.

Dear Dr. Seckel, I had lower blepharoplasty in February 2006. There was asymmetry from the beginning-the left eye was rounded at the corner and the right eye more extended than the left. I wanted the left lid to extend outwards not upwards. The plastic surgeon performed a revision at 3 1/2 months post-op but there was no change in my lid position, only more scarring and a smaller eyehole. What procedure can be done to lower the lid position and prevent the corner from slanting upwards? Thank you, Susan, Seattle, WA

Tuesday, September 12th, 2006

Eyelid malposition, the sweeping up of the eyelid you have experienced is usually temporary unless a canthoplasty was performed.

Dear Dr. Seckel, I had fat pearl grafts placed into my eyelids as part of a blepharoplasty to correct dark circles under my eyes. I had the pearl fat grafts transplants placed into my eyes about five weeks ago. On my lower eyelids I have lumpiness above my cheeks. Will these lumps go away? Thank you, Erica, Los Angeles CA.

Monday, August 28th, 2006

It is normal following fat transplantation or pearl grafting to have some noticeable lumps initially

Dear Dr Seckel-I had an Asian blepharoplasty, eyelid tuck or double fold eyelid operation or Asian eyelid surgery in Hong Kong. It was the Asian double fold 3 stitch operation, it was an incision method where three stitches were made on each upper eye lid and it was done in 5 minutes, the results are not satisfactory with lots of discomfort, bruising, swelling and its uneven. What are the long-term risks? I wonder if that is reversible? Can there be corrective surgery done and what does it involve and what’s the recovery time? What are the risks? I am not sure if the stitches are absorbable or if they stay in the eye lid- are there are further risks and length of time for when the stitches can be removed – I was told these stitches could be removed. Thanks, Carol, Australia

Monday, August 28th, 2006

3 stitch Asian blepharoplasty

Dear Dr. Seckel, I had a lower blepharoplasty (not transconjunctival) and a rhinoplasty (tip area only) performed about a month ago. Since the surgery the outer corners of my eye have turned down (as if I was intentionally pulling them downward (the Sad Eye/Hound Dog Look you mentioned). The inner lid also is turned slightly out in the corners making me look like a different person. I have voice my concerns with my plastic surgeon and he says I look refreshed while others who know me say differently. I’m concerned that I may need corrective surgery however other specialists do not want to see me until six months or so. If the muscle is damage, does it ever correct itself and how long do most patients have to wait until there eye integrity is back again? Lee, Port Jefferson, NY

Wednesday, March 1st, 2006

Dear Lee,
The sad eyed look, also called an ectropion or hound dog eyes, following the eyelid rejuvenation procedure called a blepharoplasty is common after traditional scalpel blepharoplasty an eyelid surgery during which an external incision is made on the outside skin of the eyelid. The turned down lower eyelid not only looks bad but [...]

Dear Dr. Seckel, I want to know if the droopy eye due to eyelid surgery can be repaired. I had a blepharoplasty and my left eye looks funny. Thank you, Jae Vikman, Beverly Hills, CA.

Sunday, February 19th, 2006

Dear Jay,
I cannot be certain without examining you but a droopy upper eyelid after blepharoplasty eyelid rejuvenation surgery usually means that a muscle called the levator palpebrae superioris has been injured. This muscle, called the levator, functions to open the upper eyelid, and when injured during a blepharoplasty the eyelid droops, a condition called ptosis.
The [...]

Dear Dr. Seckel, I had a blepharoplasty operation to remove puffy eye bags under my eyes and I think too much fat had been removed and now I have one eye that looks hollow and bulging out, and at a glance it still looks like I have a bag under my eye, but it actually its my eyeball sticking out! What can I do? Teri Los Angeles, CA.

Sunday, February 12th, 2006

Dear Terry,
From your description of the hollow appearance of your eye following your blepharoplasty I suspect your diagnosis is correct and that too much fat was removed during your blepharoplasty giving you hollow eyes. When too much fat is removed during the blepharoplasty on the lower eyelid, the lower eyelid sinks in and the eye [...]